Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy A Brethauer, MD

Individual provider Surgery Physician · NPI 1043363989

Stacy A Brethauer, MD is a General Surgery in Columbus, Ohio. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1993, 33 years ago. Practices with Osu Surgery, LLC, a 204-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
33
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
OH
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2050 Kenny Rd
Columbus, OH 43221-3502
Phone: (614) 366-6675
Fax: (614) 366-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35086034 (OH)

Record details

NPI number1043363989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1993 (33 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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